Organization
LIGHTHOUSE WOMEN MINISTRIES ASSOCIATIONOF AMERICA INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JATIS JE JUAN MCCOLLISTER (PRESIDENT/DIRECTOR OF PROGRAM DEVLO)
(972) 291-9826
Entity
Organization
Contact information
Practice address
1406 HORTON DR, CEDAR HILL, TX 75104-1328
(972) 291-9826
Mailing address
1406 HORTON DR, CEDAR HILL, TX 75104-1328
(972) 291-9826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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